KATHLEEN A CARLSON (NPI# 1043253081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043253081 |
| Entity Type | Individual |
| Full Name | KATHLEEN A CARLSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
3900 St Francis Way Ste 200 Lafayette IN 47905 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 7657752800 |
| Practice Fax Number | 7657752831 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
71000108A | IN | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 71000108 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
071000108A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200062110 | 05 | |
| IN | 200062110A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 76145th Street, Ste. 103, Munster, IN 46321 | 2199223002 | 2199223003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267704 | Kathleen E Carlson | Social Worker | 260 Liberty St, Braintree, MA 02184-6030 | 2020-08-26 |
| 1831210731 | Kathleen Carlson | Registered Nurse | 2470 Charmany Way, Mc Farland, WI 53558-9720 | 2007-04-02 |
| 1679668552 | Kathleen Loree Carlson | Obstetrics & Gynecology | 7614 E 91st Street, Suite 100, Tulsa, OK 74133-6047 | 2006-10-04 |
| 1447208723 | Kathleen Sue Carlson | Licensed Practical Nurse | 5224 W Jerelyn Pl, Milwaukee, WI 53219-2273 | 2006-05-05 |
| 1528541992 | Kathleen Carlson | Marriage & Family Therapist | 1710 South Amphlett Blvd, Suite 210h, San Mateo, CA 94402 | 2018-09-12 |
| 1982185906 | Kathleen Anne Carlson | Registered Nurse | 35 12th St Se, Paris, TX 75460-6006 | 2018-08-27 |
| 1962778050 | Kathleen Carlson | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2012-03-22 |
| 1003946856 | Kathleen M Carlson | Internal Medicine | 2955 S Broadway, Englewood, CO 80113-1526 | 2007-03-07 |
| 1134207509 | Kathleen Carlson | Social Worker | 11309 Distinctive Dr, Orland Park, IL 60467 | 2006-11-01 |
| 1629180161 | Kathleen Carlson | Nurse Practitioner | 1375 W Green St, Hastings, MI 49058-1718 | 2006-08-31 |
| Street Address |
3900 ST FRANCIS WAY STE 200 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669443461 | Arthur D Rosen | Psychiatry & Neurology | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-01-30 |
| 1073125407 | Michaela Anderson | Nurse Practitioner | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2020-08-18 |
| 1548887623 | Rachael Rosebrock | Physician Assistant | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2020-07-06 |
| 1700094307 | William Aaron Kay | Internal Medicine | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2007-05-18 |
| 1689771016 | Raja S Mahidhara | Surgery | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-09-20 |
| 1184643512 | John J Schier | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-07-18 |
| 1033134432 | Michael Leo Hogan | Internal Medicine | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-07-13 |
| 1639122047 | Petronio Ilagan | Psychiatry & Neurology | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-05-18 |
| 1912971383 | Sherman Anthony Williams | Internal Medicine | 3900 St Francis Way Ste 200, Lafayette, IN 47905 | 2006-02-14 |
| 1326011628 | Dilawer H Abbas | Psychiatry & Neurology | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285182550 | Elizabeth Anne Summerhayes | Nurse Practitioner | 3542 Oconner Dr, Lafayette, CA 94549-4933 | 2016-09-15 |
| 1194106674 | Jessica J. Meredith | Nurse Practitioner | 4118 Trees Dr, Lafayette, IN 47909-3450 | 2015-06-10 |
| 1013291350 | Shelly Sebastien Richard | Nurse Practitioner | 501 W Saint Mary Blvd Ste 200, Lafayette, LA 70506-4665 | 2011-10-05 |
| 1134442692 | Christine Devillier Richard | Nurse Practitioner | 522 Harrell Dr, Lafayette, LA 70503-4935 | 2010-03-11 |
| 1679761761 | Grace Ihsiu Todd | Nurse Practitioner | 964 Mezzanine Dr, Planned Parenthood of Indiana and Kentucky, Lafayette, IN 47905-8631 | 2007-10-15 |
| 1396761060 | Deirdre Irene Detraz | Nurse Practitioner | 2801 Kaliste Saloom Rd, Suite 200 B, Lafayette, LA 70508-7181 | 2006-07-14 |
| 1861451106 | Anne Elizabeth Zahnke | Nurse Practitioner | 1 W 240 S, Lafayette, IN 47909-6303 | 2006-03-23 |
| 1194728568 | Gilbert Almanza | Nurse Practitioner | 1345 Unity Pl, Suite 345, Lafayette, IN 47905-5760 | 2005-05-31 |
| 1891330726 | Sarah Roth | Nurse Practitioner | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2019-11-14 |
| 1235774431 | Rdd Consulting | Nurse Practitioner | 3400 Moss St Ste B, Lafayette, LA 70507-6114 | 2019-11-12 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.